How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $371.54 Median $1,412.54 Typical High $2,511.89 | Facility | None | $371.54 | $1,412.54 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $630.96 | Professional | None (both parts) | $251.19 | $251.19 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $190.55 | Professional | 26 · Professional part | $63.10 | $63.10 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $186.21 | $575.44 |
AvMed Setting Facility Modifier None Typical Low $109.65 Median $478.63 Typical High $1,096.48 | Facility | None | $109.65 | $478.63 | $1,096.48 |
AvMed Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $125.89 | $245.47 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $776.25 | Facility | None | $302.00 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $2,570.40 | Professional | None (both parts) | $870.96 | $1,071.52 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $125.89 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $954.99 Typical High $2,290.87 | Professional | TC · Technical part | $870.96 | $954.99 | $2,290.87 |
Florida Blue Setting Facility Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $7,762.47 | Facility | None | $1,023.29 | $1,047.13 | $7,762.47 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,023.29 Median $1,047.13 Typical High $7,762.47 | Facility | 26 · Professional part | $1,023.29 | $1,047.13 | $7,762.47 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,023.29 Median $1,047.13 Typical High $7,762.47 | Facility | TC · Technical part | $1,023.29 | $1,047.13 | $7,762.47 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $309.03 | $371.54 | $691.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $107.15 | $154.88 | $173.78 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $223.87 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $177.83 Typical High $524.81 | Professional | None (both parts) | $104.71 | $177.83 | $524.81 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $501.19 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $109.65 | $144.54 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $173.78 | $363.08 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $524.81 | $588.84 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $316.23 | Professional | 52 · Reduced service | $125.89 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $128.82 | Professional | 53 · Discontinued | $50.12 | $50.12 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $478.63 | Professional | FX · Film X-ray | $199.53 | $199.53 | $478.63 |
Where Florida sits
The same service costs 12.3 times more in Wyoming than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 47th of 51
$501
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.